Organization
BRAD PODRAY ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD ANDREW PODRAY DMD (OWNER)
(561) 699-2580
Entity
Organization
Contact information
Practice address
201 S ANKENY BLVD, ANKENY, IA 50023-3116
(515) 964-5602
Mailing address
201 S ANKENY BLVD, ANKENY, IA 50023-3116
(515) 964-5602
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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